Over the last 2 weeks, how often have you been bothered by any of the following problems? First NameLast NameDOB (dd/mm/yyyy)Post Code1. Feeling nervous, anxious or on edge Not At All Several Days More Than Half the Days Nearly Every Day2. Not being able to stop or control worrying Not At All Several Days More Than Half the Days Nearly Every Day3. Worrying too much about different things Not At All Several Days More Than Half the Days Nearly Every Day4. Trouble relaxing Not At All Several Days More Than Half the Days Nearly Every Day5. Being so restless that it is hard to sit still Not At All Several Days More Than Half the Days Nearly Every Day6. Becoming easily annoyed or irritable Not At All Several Days More Than Half the Days Nearly Every Day7. Feeling afraid as if something awful might happen Not At All Several Days More Than Half the Days Nearly Every DayPlease check you have answered EVERY question. Thank you.